management of bil alternating infantile esotropia

bil 5 mm recession of m rectus is a recent surgical procedure of bil inf al esotropia this procedure gives v good cosmetic look no reaation as when we dp recession there is no reaction reaction ocurs only when we cut muscle before doing this sugery we shoud do refraction which shou be equal in both eyes presentation po bil al in est is 1 crissed fixation 2 un crossed fixation 3 overaction 4 over action of inf oblique 6 broad angle 7 av pattern 8 when we cover the dominant eye child will cry cpmplicatins of surgery 1 under correction 2 overaction of inf oblique 3 amblyopia 4 d v d 5 accomodative element